| NPI | 1538610050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN MARTIN PIC 907-376-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2024-06-13 |